Hi all, I'm looking for a bit of guidance as I navigate a tricky situation. I've been on Cymbalta 20mg for just under 3 weeks. I'm taking it for anxiety and discomfort (likely neuromuscular) related to pelvic floor issues. Along with a few other things I'm doing, the Cymbalta has helped calm anxiety about my situation and lessened discomfort so I can get some sleep at night. Main side effects: noticeably low libido and sleep disturbances (different from my usual sleep symptoms).
Here's where things are tricky: I'm scared of these meds. I spent 10 years on Effexor, Cymbalta's cousin, and had a hell of a time going off it and avoiding withdrawal-related PSSD. Long story short, I got PSSD every time I tried to come off Effexor until the last time. Now I'm on Cymbalta due to this neuromuscular pelvic condition and I'm scared of getting PSSD when coming off. Or at least that the libido issues I'm currently having won't resolve.
The problem? Cymbalta is working (minus the sleep disruptions), and I may need help keeping anxiety at bay so that some specialized pelvic treatments I need will actually work. Basically, anxiety makes it hard to treat this condition and I want to get better ASAP.
What I'm hoping you can help with: any guidance on how hard it will be to come off Cymbalta after, say 3-4 months. In one scenario, I stay on them long enough to make significant progress with physical therapy and start tapering off them. Also, how hard is it to avoid PSSD when tapering off these meds? When I took Effexor, my libido and sexual functioning were perfectly fine (except for delayed orgasm). It was only upon *stopping* the Effexor that numbness, low libido, and premature ejaculation happened. I'm scared the same will happen on Cymbalta.
Sorry for the long post, and I'm not looking for medical advice or anything. Just a sense of what coming off these meds might look like and whether I should just get off them now. I'm all too aware that I'm playing with fire here.